总额控制管理的核心在于费用分配。其基本项包括预算指标的年初确定、年中调整和年终清算三个主要环节。确定年初预算总控指标。确定年初分配预算的基础是预计当年医疗保险基金收入。首先,各地的差异在于医保筹资水平有高有低,高的分配余地较大;低的则往往捉襟见肘。此外要看当地医院数量的多少,多的调节余地较大,少 The core of Total Control Management is cost allocation. The basic items include the preliminary determination of the budget target, the mid-year adjustment and the year-end liquidation. Determine the beginning of the year budget master control indicators. The basis for determining the distribution of the beginning of the year is the projected income from the medical insurance fund for the current year. First of all, the difference lies in that all levels of medical insurance have higher and lower levels of fund-raising and a higher allocation of leeway, while lower ones tend to be hard-pressed. In addition, depends on the number of local hospitals, more room for adjustment, less